Organization Active NPI

Pamela D. Drake, M.D., P.a., Co.

  • Psychiatry Physician
  • Salem, OH
National Provider Identifier
1295004117
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PAMELA D. DRAKE, M.D., P.A., CO.
Practice address
12680 Salem Warren Rd
Salem, OH 44460-9668
Phone
(330) 337-0088
Fax
(330) 337-3099
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela D Drake, M.D.
Title
Owner
Phone
(330) 337-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

12680 Salem Warren Rd
Salem, OH 44460-9668

Mailing address

12680 Salem Warren Rd
Salem, OH 44460-9668
Phone (330) 337-0088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1295004117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12680 SALEM WARREN RD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444609668",
            "telephone_number": "330-337-0088",
            "fax_number": "330-337-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 SALEM WARREN RD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444609668",
            "telephone_number": "330-337-0088",
            "fax_number": "330-337-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA D. DRAKE, M.D., P.A., CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-337-0088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.